A nurse is assessing a 49-year-old homeless male client. The nurse fashions the assessment process based on the understanding that the client would most likely demonstrate which of the following?

Correct Answer: D

Rationale: The correct answer is D. Homeless individuals often display resistance and caution due to past negative experiences or mistrust of authority figures. This behavior is a defense mechanism to protect themselves. A nurse should approach with empathy, patience, and non-judgmental attitude to build trust gradually. Choices A, B, and C are incorrect as they assume the client will be cooperative, talkative, or willing to engage in discussions, which may not be the case for a homeless individual who may have faced trauma or discrimination. It is essential for the nurse to acknowledge the client's feelings and validate their concerns before proceeding with the assessment.

Correct Answer: D

Rationale: The correct answer is D because the client requiring a sterile dressing change for a burn has the highest priority due to the risk of infection and potential complications. Sterile technique is crucial to prevent infections in burn wounds. Burn injuries can lead to sepsis if not properly managed. Clients receiving chemotherapy (Choice A) may require careful monitoring but do not have an immediate risk of infection like the burn client. A client who has had an appendectomy and has diminished bowel sounds (Choice B) may indicate a potential complication but is not as urgent as managing a burn wound. A client with hypothyroidism and stupor (Choice C) may require intervention but does not pose an immediate threat to life like a burn wound needing a sterile dressing change.

Correct Answer: C

Rationale: The correct answer is C: Hypothyroidism. Hypothyroidism is a common trigger for major depressive disorder due to its impact on hormone levels, particularly thyroid hormones that regulate mood. When thyroid levels are imbalanced, it can lead to symptoms of depression. Pain (choice A), hypertension (choice B), and Crohn's disease (choice D) can also contribute to depression but are not as directly linked to triggering major depressive disorder compared to hypothyroidism.

Correct Answer: C

Rationale: Rationale: The correct response is C. When someone is in emotional pain to the extent of contemplating suicide, their ability to think clearly and rationally is often compromised. This is especially true in the case of sudden or impulsive suicides. Therefore, the therapist's best response would be to explain that the husband's emotional turmoil likely clouded his judgment and prevented him from leaving a note. Incorrect Choices: A: This choice assumes impulsivity, but it doesn't address the husband's emotional state. B: While this choice considers the impact on Gladys, it doesn't directly address the husband's mental state. D: This choice focuses on Gladys' potential interpretation rather than the husband's state of mind.

Correct Answer: A

Rationale: The correct answer is A because hospice care focuses on enhancing the quality of life for patients with terminal illnesses and their families. It provides holistic support, including pain management, emotional and spiritual care, and practical assistance. By bringing up hospice care, the nurse is offering a compassionate approach that aims to ensure comfort and dignity for Holly during her end-of-life journey. Choice B is incorrect because hospice care does not necessarily mean the end of all treatments. It shifts the focus from curative treatments to palliative care, but it still provides medical support to manage symptoms and improve comfort. Choice C is incorrect as hospice care does not provide curative treatment. It focuses on comfort care and symptom management rather than trying to cure the terminal illness. Choice D is incorrect because hospice care is not about hastening death. It aims to provide support and comfort during the natural end-of-life process, not to aggressively end life.